Active NPI
Maria Silva Mercado, DMD
- Dentist
- McMinnville, OR
National Provider Identifier
1790569127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11863
- Practice address
- 115 NE May Lane
McMinnville, OR 97128 - Phone
- (503) 472-1338
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11863 | OR | Primary |
Addresses
Primary practice location
115 NE May Lane
McMinnville, OR 97128
Mailing address
247 SE 160TH Ave Apt a 102
Portland, OR 97233
Phone (971) 344-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11863 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1790569127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 SE 160TH AVE APT A 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97233",
"telephone_number": "971-344-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NE MAY LANE",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-472-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA MERCADO",
"first_name": "MARIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.